HomeMy WebLinkAbout2010-00786 - windows CITY OF ORONO PERMIT NO.: 2010-00786
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 845 WILLOW DR S
PIN 10-117-23-22-0002
LEGAL DESC UNPLATTED 10 117 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOWS
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 4,734.00
NOTE: REPLACING(10)WINDOWS INTO EXISITNG OPENINGS
APPLICANT PERMIT FEE SCHEDULE 118.00
PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00
2211 11TH AVE.E.
MN 55109- MAIL-IN FEE 2.00
(651)770-5570 TOTAL 125.00
Minnesota State License#:BC 2035684 PAID WITH CC# 0074
OWNER
WILLIAMS,ROBERT&JORDANNA
845 WILLOW DR S
MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformanee with the State Building Code.This permit may be
revoked at anytimefor due cause.
Applicant Permitee Signature Date Issued By gnature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
AUCs-31-2010 17:07 From:Window World 6517700495 To:9522494616 Page:1/3
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City of Orono
' Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.
Mailing Address: Permit number. 019�/ -
Og o,j�� Po Box 66
Crystal Bay,MN 55323-0066 Date received:
Sheat Address: Received by:
2750 Kelley Parkway Plan review feeZI
og� Orono,MN 55356
'
Main: 952-249-46W Famc 952-249-4610 vh,%a.arono mn.ua Total Fes:
This application form must be completed in full and all required infot ration must be submitted.
Incomplete applications will be returned. (Pkww print)
GENERAL INFORMATION:
Job Site Addrms, 845 Willow Dr S
Will this be a Parade of Homes, Remodelers Showcase Homme or other Display Home? 0 Yes No
fryw a spec#W event permit is raptured wM Podoe Deparbpent and OW Cbund approval W*p pw b Bre event Sh&ft bus aerhioe wdr be
►equahid un s 4Pplicar►t sulricrant ai otm parrarng is av�labra NmVerrr*W ousels wff not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Names ProBuilt America
State License# Expiration Date:
Picone: 651-770-9315 (offiW)
Mailing Address: 2211 I T ve J& Ci : N. Paul ZIP• 55109
C dad Person: Els Ltj.U.L Dadid: Applicant is: tractor / Homeowner prem ones
Email and/or Fac eatherdow ndowworldtaa.corn-651-770-04
PROPERTY OWNER INFORMATION:
Name: Rob Williams
Phone(day):
Adder; same as site CRY: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project Any earth movement ntay require
MM review It pOnrtits
E]Doogs) [jRemodel C]Water Damage
Minnehaha Creek Watershed District(MCWD)
m Windows) ❑Repair ❑Storm Damage 18202 Minratonke Blvd
Deephaven.MN 55391
❑Siding ❑Restoration ❑Other:(specify) Phone: 952-171-0590
Farr. 952.471
❑Re-roof ❑Fre Damage s wfninnehahaaree t.nro
Overall ProjectDescriplon: Replacing 10 windows not chariging size
Estimated Construction Valuation of Project(excluding Iand) i 4734
APPLICANT ACKNOWLEDGEMENT:
• Agrees.to pravtde all Warnution required or requested by the Building.Departrneru;
• Certifies that the information supplied is true and corned to the best of histher knowledge_ The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so,the staff ha no eltemative
but to mjed it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either pdvata or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generally cannot be given to either ft public or the subject of the data. Our
purpose and intended use of this IMhxmadbn is to annually update our records and records of other governmental agencies
required by law. It You refuse to WPOV the WarnatioN lbs @Rphadim may not be issued.
Applicant's Signature: a Date: 08/27/10
Last updated: 05.04-2000
DAT TIME V
CITY OF ORONO CALLED IN 9
INSPECTION NOTICE �'�Q SCHEDULED r.2
PERMIT NO.o�D/D—fie/ /u COMPLETED
ADDRESS ���O I�
OWNER // �W EPHONE NO!&2k 97-/(4-75,
CONTRACTOR —A6UZ1 17640r-
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS��D
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Uj ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice